We are seeking a proactive and detail-oriented Medical Insurance Verification Specialist to join our healthcare team. In this role, you will verify patient insurance coverage, obtain prior authorizations, and ensure insurance information is accurate and up to date. This position supports smooth clinical operations, timely billing, and exceptional patient care in a dynamic healthcare environment.
Responsibilities
- Verify patient insurance coverage by reviewing policies, benefits, and eligibility through various systems and communication channels.
- Obtain necessary prior authorizations for medical procedures, tests, and treatments in accordance with managed care guidelines.
- Document insurance verification activities within electronic health records (EHR) and other relevant systems.
- Communicate with insurance companies, healthcare providers, and patients to resolve coverage issues or discrepancies.
- Maintain records of verifications, authorizations, and related correspondence for audit purposes.
- Collaborate with medical office staff to support smooth billing processes and reduce claim denials related to coverage issues.
- Stay informed about updates in health insurance policies, managed care procedures, and medical billing practices.
Work Location
- In person
Requirements & Qualifications
- Prior experience in a medical office or healthcare setting is highly preferred.
- Strong knowledge of health insurance policies, managed care processes, and prior authorization procedures.
- Familiarity with medical terminology, CPT coding, ICD-9/ICD-10 coding, and medical billing practices.
- Experience managing electronic health records (EHR) or electronic medical records (EMR) systems.
- Excellent customer service and professional communication skills.
- Understanding of HIPAA regulations and clinical confidentiality policies.
- Ability to work accurately in a fast-paced environment.
Benefits & Perks
- Paid time off
Location
Florida, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
4 weeks ago